EMS World

AUG 2016

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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For More Information Circle 28 on Reader Service Card Veinlite EMS PRO ® The Ultimate Vein Access Device for Emergency Patent Numbers: 7,874,698; 7,841,751; 8,032,205; 8,177,808 ®Registered Trademark of TransLite, LLC Designed and manufactured in the USA. www.veinlite.com Patent Numbers: 7,874,698; 7,841,751; 8,032,205; 8,177,808 Integrated white exam light for low-light situations VISIT BOOTH #928 SAVE $100 OFF VEINLITE For More Information Circle 27 on Reader Service Card For More Information Circle 29 on Reader Service Card intra-arterial recanalization, prehospital inquiry regarding the need for surgical or other intervention with hospital experts via telemedicine, guideline-adherent and etiology-specific prehospital management of physiological variables (i.e., blood pressure), and prehospital decision-making about the target hospital (e.g., a more distant hospital with stroke unit, neurosurgery or neuroradiology vs. a closer hospital without those resources)." 5 Note the second benefit there of getting the patient who may need more than tPA to a destination that can deliver it. Conversely, those with minor strokes can be identified and treated at primary stroke centers, leaving comprehensive stroke centers free for the more severe ones. The Telemedicine Option The Cleveland Clinic's system includes one comprehensive and eight primary stroke/stroke-ready centers. But across that system a few years ago, just 15% of eligible patients were arriving in time for tPA. The MSU is an attempt to change that. Clinic staffers traveled to Germany to observe its programs and talk to leaders, local EMS and vehicle manufacturers. "We tried to gather as many ideas as we could," says Peter Rasmussen, MD, director of the Clinic's Cerebro- vascular Center and its medical director for distance health, "and just hone in on those that worked best for our particular location and facilities." Funding, as it did in Houston, came from private sources. Excel- lance built the unit, which includes a mobile scanner and POC lab

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